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通过微视野检查和光学相干断层扫描(OCT)的8×8后极部分析评估原发性开角型青光眼中所有视网膜层的黄斑结构-功能关系

Macular Structure-Function Relationships of All Retinal Layers in Primary Open-Angle Glaucoma Assessed by Microperimetry and 8 × 8 Posterior Pole Analysis of OCT.

作者信息

Garcia-Medina Jose Javier, Rotolo Maurilia, Rubio-Velazquez Elena, Pinazo-Duran Maria Dolores, Del-Rio-Vellosillo Monica

机构信息

Department of Ophthalmology, General University Hospital Morales Meseguer, 30007 Murcia, Spain.

Department of Ophthalmology, General University Hospital Reina Sofia, 30003 Murcia, Spain.

出版信息

J Clin Med. 2021 Oct 28;10(21):5009. doi: 10.3390/jcm10215009.

Abstract

Purpose The aim of this study is too correlate the sensitivity and thickness values of intraretinal layers at macula in healthy eyes and primary open-angle glaucoma (POAG) eyes. Methods The thickness of different intraretinal segmentations was estimated by means of optical coherence tomography (OCT) Spectralis (Heidelberg, Engineering, Inc., Heidelberg, Germany) with the posterior pole analysis program 8 × 8 in 91 eyes from 91 patients (60 with glaucoma and 31 healthy patients). Macular sensitivity was also measured with an MP-1 microperimeter (Nidek Instruments, Inc Padova, Italy) with a customized, 36-stimulus pattern adjusted to an anatomical correspondence with the OCT grid. Correlations were calculated by using Spearman's rho and the results were represented in color maps. Results Significant structure-function correlations were much more frequent in the glaucoma group than in control group. In general terms, associations were positive for inner retinal layers but negative correlations were also found for the inner nuclear layer and outer retinal layer in glaucoma. Conclusions: In general terms, significant structure-function correlations for different intraretinal layers are higher and wider in POAG eyes than in healthy eyes. Inner and outer retinal layers behave differently in terms of the structure-function relationship in POAG as assessed by microperimetry and OCT.

摘要

目的 本研究旨在关联健康眼睛和原发性开角型青光眼(POAG)眼睛黄斑区视网膜内层的敏感度和厚度值。方法 采用德国海德堡工程公司的Spectralis光学相干断层扫描(OCT)及后极分析程序8×8,对91例患者(60例青光眼患者和31例健康患者)的91只眼睛不同视网膜内部分的厚度进行估计。还使用意大利帕多瓦尼德克仪器公司的MP - 1微视野计,采用定制的36刺激模式,根据与OCT网格的解剖对应关系进行黄斑敏感度测量。使用斯皮尔曼等级相关系数进行相关性计算,并将结果以彩色地图表示。结果 青光眼组中显著的结构 - 功能相关性比对照组更常见。总体而言,视网膜内层的相关性为正,但青光眼患者的内核层和外层视网膜也发现了负相关。结论:总体而言,POAG眼睛中不同视网膜内层的显著结构 - 功能相关性比健康眼睛更高、范围更广。通过微视野计和OCT评估,POAG中视网膜内层和外层在结构 - 功能关系方面表现不同。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3754/8584401/087fe8e75f8d/jcm-10-05009-g001.jpg

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